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Author: Christina Escuder
Publisher:
ISBN:
Category : Obesity
Languages : en
Pages : 47
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Book Description
Obesity is a chronic disease defined as having a body mass index (BMI) of at least 30 kg/m2. Current data indicate that over 30% of U.S. adults are obese. Obesity is a public health concern due to its considerable increase in recent decades and its adverse effects on physical and psychological wellness. Currently, bariatric surgery is identified as the most effective treatment for obesity and long-term weight loss/weight maintenance despite post-surgical treatment failure rates of up to 30%. Few psychological interventions have been implemented pre- or post-surge1y in order to address treatment failure. The current standard of care includes a pre-surgical psychological evaluation aimed at identifying any factors that may interfere with long-term success. There continues to be a lack of consensus regarding the effects of a pre- or post-psychological intervention on those who undergo bariatric surgery. Therefore, the purpose of this literature review is to clarify which interventions have led to changes in psychosocial or weight loss outcomes in this population. Additionally, this reviewed examined when the intervention was provided, whether it was preoperatively, postoperatively, or both pre and postoperatively. A total of 15 empirical articles met criteria for inclusion in this systematic literature review. Results showed that interventions provided pre or postoperatively resulted in decreased psychological distress, reduced depressive symptoms, increased dietary consistency and physical activity, and improvements in eating disordered behavior and body image. Results from the two studies that examined the benefit of a psychosocial intervention provided to patients both pre and postoperatively did not demonstrate significant changes in weight loss or BMI. Studies that had a relatively short-term follow-up period and did not find statistically significant changes should be interpreted carefully since weight loss is likely to occur rapidly immediately after surgery; often termed the "honeymoon period." Studies that limited their follow-up to this period of time might yield results that may lead consumers to underestimate the value of a psychological intervention in helping the patient to lose weight and improve overall functioning. The lack of standardization among programs, participants, and assessment protocols limits the ability to generalize these findings.Future research should aim to conduct more longitudinal studies with larger samples who underwent surgeries that are more commonly utilized today (e.g., sleeve gastrectomy).Additionally, future studies should work towards standardizing the following: "treatment as usual," assessment measures, duration of intervention, as well as an effort to replicate previous studies so as to bolster support for the effectiveness of psychosocial interventions for change in psych-social outcomes and weight with this population.
Author: Christina Escuder
Publisher:
ISBN:
Category : Obesity
Languages : en
Pages : 47
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Book Description
Obesity is a chronic disease defined as having a body mass index (BMI) of at least 30 kg/m2. Current data indicate that over 30% of U.S. adults are obese. Obesity is a public health concern due to its considerable increase in recent decades and its adverse effects on physical and psychological wellness. Currently, bariatric surgery is identified as the most effective treatment for obesity and long-term weight loss/weight maintenance despite post-surgical treatment failure rates of up to 30%. Few psychological interventions have been implemented pre- or post-surge1y in order to address treatment failure. The current standard of care includes a pre-surgical psychological evaluation aimed at identifying any factors that may interfere with long-term success. There continues to be a lack of consensus regarding the effects of a pre- or post-psychological intervention on those who undergo bariatric surgery. Therefore, the purpose of this literature review is to clarify which interventions have led to changes in psychosocial or weight loss outcomes in this population. Additionally, this reviewed examined when the intervention was provided, whether it was preoperatively, postoperatively, or both pre and postoperatively. A total of 15 empirical articles met criteria for inclusion in this systematic literature review. Results showed that interventions provided pre or postoperatively resulted in decreased psychological distress, reduced depressive symptoms, increased dietary consistency and physical activity, and improvements in eating disordered behavior and body image. Results from the two studies that examined the benefit of a psychosocial intervention provided to patients both pre and postoperatively did not demonstrate significant changes in weight loss or BMI. Studies that had a relatively short-term follow-up period and did not find statistically significant changes should be interpreted carefully since weight loss is likely to occur rapidly immediately after surgery; often termed the "honeymoon period." Studies that limited their follow-up to this period of time might yield results that may lead consumers to underestimate the value of a psychological intervention in helping the patient to lose weight and improve overall functioning. The lack of standardization among programs, participants, and assessment protocols limits the ability to generalize these findings.Future research should aim to conduct more longitudinal studies with larger samples who underwent surgeries that are more commonly utilized today (e.g., sleeve gastrectomy).Additionally, future studies should work towards standardizing the following: "treatment as usual," assessment measures, duration of intervention, as well as an effort to replicate previous studies so as to bolster support for the effectiveness of psychosocial interventions for change in psych-social outcomes and weight with this population.
Author: James E. Mitchell
Publisher: Taylor & Francis
ISBN: 113662273X
Category : Psychology
Languages : en
Pages : 288
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Book Description
Bariatric surgery plays an important role in the treatment of obesity; in this comprehensive resource the worldwide leaders of the field provide the most up-to-date information on the psychosocial issues that affect their patients. Included is an overview and history of surgical procedures, complete with illustrations, practical advice on topics such as physical activity and nutritional care after surgery, and essential information that allows clinicians to assist their clients as much as possible; for example, how pre-weight loss surgery psychosocial evaluations can serve as clinical interventions in their own right, and how structured interviews and questionnaires can be used in multiple contexts such as screening, treatment planning, and prognostic assessment. A distinctive chapter includes an overview of the special issues present in treating adolescents, who increasingly are the target of bariatric surgery procedures. This book is an essential reference for clinicians from the evaluation through the follow-up and aftercare of bariatric surgery patients.
Author: Abbe Boeka
Publisher:
ISBN:
Category : Electronic dissertations
Languages : en
Pages : 147
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Book Description
Obesity is a leading cause of preventable death in America and its prevalence is increasing at an alarming rate. Given the medical and psychosocial consequences of obesity, surgical intervention for weight loss ("bariatric" surgery) is now considered a viable option. Although the initial success rate of bariatric surgery is high, sustained weight loss requires adherence to strict post-surgical guidelines. There is increasing evidence that a percentage of patients have difficulties adhering to the post-surgical guidelines, with reemergence of poor eating habits (overeating, binge eating) being a major contributing factor. Recurrence of such eating habits can be detrimental to successful weight loss after surgery. Given the difficulties many patients face after surgery, it is possible that the typical post-surgical eating behavior guidelines presented to bariatric surgery patients are ineffective in motivating some individuals to comply. Protection Motivation Theory (PMT), a model that specifies the components of health messages that increase compliance with a health behavior, has been proven to be a reliable model for creating health promotion messages. The present study utilized a PMT-based intervention directed at patients undergoing bariatric surgery. Eighty-two obese individuals seeking surgical treatment of obesity were recruited to participate in this study. Participants were divided into two groups: PMT vs. Control. In addition to routine messages from the bariatric surgeon, participants in the PMT group received an intervention focused on the importance of adhering to post-surgical eating behavior guidelines and how best to adhere to these guidelines. This intervention was in the form of lectures, guided readings, and participant discussion. Participants in the control group received standard of care information from the bariatric surgeon. Those participants who had bariatric surgery during the time frame of the study were followed after surgery to assess post-surgical eating habits and weight loss. Results indicated that overall, the PMT intervention did not have a significant impact. However, follow-up analyses indicated that perceived self-efficacy and perceived threat of not following the guidelines may predict patients' intentions to comply with post-surgical guidelines. In addition, perceived self-efficacy was found to be a significant predictor of post-surgical weight loss. Findings are discussed in terms of the methodological compromises that resulted from the applied research setting as well as promising avenues for future investigation.
Author: Alexander L. Patterson
Publisher:
ISBN:
Category : Obesity
Languages : en
Pages : 53
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Book Description
Bariatric surgery is an increasingly popular intervention for obesity, and psychologists have seen a growing role in the evaluation of surgery candidates. Studies of pre-surgery psychosocial and physical health variables that are predictive of post-surgical outcome have been inconclusive. In the present study, pre-operative health status, psychological testing results, and support group attendance were measured to determine their relationship with weight-loss outcome at 6 months post-surgery. The Health Perception scale of the Health Status Questionnaire was a significant predictor of weight loss outcome. This suggests that individuals who endorse more negative perceptions of their physical health are more likely to have a better outcome post-surgery. The results of this study emphasize the importance of evaluating an individual's psychological perceptions of their physical health when they present for bariatric surgery.
Author: Tanya Ilaine Alonso
Publisher:
ISBN:
Category : Obesity
Languages : en
Pages : 62
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Book Description
Objective-This literature review investigated whether psychological interventions pre or post bariatric surgery improves weight loss and/or maintenance beyond the weight loss due to surgery alone. The hypothesis is that individuals who undergo a psychological intervention, whether before or after bariatric surgery, will have a larger excess weight loss than their counterparts. Materials and Methods- A systematic literature review was conducted using a university virtual library system that includes the following databases (among others): Cumulative Index to Nursing and Allied Health Literature (CINAHL), MEDLINE, ProQuest, PsycINFO, and Pubmed Central. Inclusion criteria: randomized controlled trials in which bariatric surgery patients received a psychological/therapy intervention compared with any type of comparison group. Additionally, authors had to report participants' weight after bariatric surgery. Eleven studies met criteria. Results- The findings did not support the hypothesis. None of the psychological interventions, whether given pre or post bariatric surgery, that were not paired with an exercise or nutrition component were found to be any more effective regarding post-surgery weight loss than surgery alone. Conclusion- While psychological/therapy interventions do not appear to improve weight loss after bariatric surgery beyond the weight loss benefit of surgery alone, interventions focusing on improving physical activity may be effective for improved weight loss/maintenance after bariatric surgery. A couple of studies did show, however, that a psychological intervention might benefit weight loss post-surgery for patients who are depressed, and can incite pre-surgical weight loss, but additional research on these topics is needed. Limitations of this literature review include the scarcity of randomized controlled trials on this topic, small sample sizes, short follow-up period, and high attrition rates. Future studies should address these limitations, and also consider including other psychological interventions, and compare various therapy delivery methods.
Author: Sanjeev Sockalingam
Publisher: Springer
ISBN: 3319425366
Category : Medical
Languages : en
Pages : 351
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Book Description
This book is designed to present a comprehensive, state-of the-art approach to assessing and managing bariatric surgery and psychosocial care. Unlike any other text, this book focuses on developing a biopsychosocial understanding of patients’ obesity journey and psychosocial factors contributing to their obesity and its management from an integrated perspective. Psychiatric Care in Severe Obesity takes a 360 approach by covering the disease’s prevalence and relationship to psychiatric illness and social factors, including genetics, neurohormonal pathways and development factors for obesity. This book presents evidence and strategies for assessing psychiatric issues in severe obesity and uses common psychiatric presentations to feature the impact on bariatric surgery and key assessment features for weight loss. Concluding chapters focus on evidence-based psychosocial treatments for supporting patients with weight loss and bariatric surgery and includes educational tools and checklists for assessment, treatment, and care. Experts on non-pharmacological interventions such as mindfulness, cognitive-behavioral therapy and nutrition education describe treatment approaches in each modality, concluding with pharmacological approaches for psychiatric conditions and eating pathology. Additional tools in the appendices support clinicians, making this the ultimate guide for managing psychiatric illness in patients suffering from severe obesity. As obesity continues to grow in prevalence as a medically recognized epidemic, Psychiatric Care in Severe Obesity serves a vital resource to medical students, psychiatrists, psychologists, bariatric surgeons, primary care physicians, dietitians, mental health nurses, social workers, and all medical professionals working with severely obese patients.
Author: Andrew Block
Publisher: Amer Psychological Assn
ISBN: 9781433812422
Category : Medical
Languages : en
Pages : 296
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Book Description
The success of many surgical procedures depends not only on the skill of the surgeon and the use of state-of-the-art technology, but also on the actions and characteristics of the patient. Patients' emotional and psychosocial concerns, health-related behaviours, outcome expectations, and compliance with treatment regimen can all strongly influence the ultimate effectiveness of surgery. Thus, mental health professionals are increasingly called upon to perform presurgical psychological screening (PPS) to ensure that patients are given the treatments most likely to be effective, while reducing the chances of worsening their conditions. This book presents PPS procedures for a wide range of surgery types, such as spinal surgery, organ transplantation, bariatric surgery, and plastic surgery. Drawing on both research and clinical experience, the authors explain how to conduct PPS, communicate results to patients and surgeons, and identify possible pre- or post-surgery interventions to mitigate risk factors and maximise the likelihood of surgical success. Case studies and a discussion of bioethics are included
Author: Roberto Cattivelli
Publisher:
ISBN:
Category : Electronic books
Languages : en
Pages : 0
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Book Description
Obesity management requires a multidisciplinary, integrated treatment composed of medical, nutritional, physical, and psychological interventions. Currently, bariatric surgery is the most suitable treatment available in case of severe obesity, or obesity with comorbid medical conditions. Despite bariatric surgery results in a significant weight loss in most of the cases, a not-inconsiderable portion of patients does not achieve relevant outcomes, in terms of limited weight loss or weight regain due to psychological problems. The pre-operative evaluation of the psychological conditions of the candidates for bariatric interventions and pre/post-surgical psychological support is required in order to achieve the desired post-operative outcomes for a long time. In this chapter, we will elucidate the core components of the psychological assessment of bariatric candidates. Moreover, the main directions for the pre/post-surgery psychological support will be provided.
Author: Melissa Pulcini
Publisher:
ISBN:
Category : Gastric bypass
Languages : en
Pages : 167
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Book Description
Recent evidence suggesting post-Roux-en-Y gastric bypass (RYGB) surgery patients are at an increased risk for developing substance use disorders (SUDs) has brought to light the importance of understanding how the postoperative development of a SUD may affect weight loss and psychosocial outcomes. The present investigation used a quasi-experimental, non-equivalent, matched pair between subjects group design to compare these outcomes in post-RYGB patients in inpatient treatment for SUDs with post-RYGB patients who reported no significant postsurgical substance-related problems. Participants were matched on sex, age, and time since surgery. Average weight losses of the two groups were not significantly different, but the SUD group exhibited a lower rate of surgical weight loss failure. The SUD group reported poorer psychosocial outcomes, including greater symptoms of depression, higher rates of probable Major Depressive Disorder (MDD), and poorer quality of life. No significant differences were found in rates of preoperative Binge Eating Disorder (BED) or postoperative behavioral excesses. Implications of these results for pre- and postsurgical care, in addition to addiction transfer theory, are discussed.
Author: Robin F. Apple
Publisher: Oxford University Press
ISBN: 0190208082
Category : Psychology
Languages : en
Pages : 133
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Book Description
Obesity has quickly become an American epidemic. People suffering from significant overweight often have to contend with a lifetime of significant comorbidities, social stigma, and lower quality of life. Recently, more and more people are undergoing weight loss surgery as a way to resolve these issues. If you are working with pre- or post-operative bariatric surgery patients, your goal is to teach them the skills they need to ensure themselves a successful surgical outcome. After surgery, patients are required to adhere to a strict diet and the very specific recommendations of their surgical "team." Without a high level of commitment from the patient to follow these recommendations, the potential for maintained weight loss after surgery is very limited. Preparing for Your Weight Loss Surgery, Therapist Guide contains a series of scientifically tested cognitive-behavioral techniques to help you prepare your patient for the post-operative challenges of creating radically changed eating and lifestyle habits. It provides instructions for teaching your patient basic problem-solving and cognitive restructuring methods that will change their negative thoughts and attitudes about food. Interactive forms including food records and checklists, body image journals, and homework assignments found in the corresponding patient workbook round out this comprehensive treatment package. TreatmentsThatWork™ represents the gold standard of behavioral healthcare interventions! BL All programs have been rigorously tested in clinical trials and are backed by years of research BL A prestigious scientific advisory board, led by series Editor-In-Chief David H. Barlow, reviews and evaluates each intervention to ensure that it meets the highest standard of evidence so you can be confident that you are using the most effective treatment available to date BL Our books are reliable and effective and make it easy for you to provide your clients with the best care available BL Our corresponding workbooks contain psychoeducational information, forms and worksheets, and homework assignments to keep clients engaged and motivated BL A companion website (www.oup.com/us/ttw) offers downloadable clinical tools and helpful resources BL Continuing Education (CE) Credits are now available on select titles in collaboration with PsychoEducational Resources, Inc. (PER)
